Internal Medicine

Download Chronic Obstructive Lung Disease by William Macnee PDF

By William Macnee

This scientific reference for practitioners deals a brand new and finished examine continual obstructive lung ailment. worldwide in scale and significance, it truly is an immense explanation for morbidity and mortality. Bringing jointly a roster of across the world well known participants from front traces of pulmonary drugs and examine, power Obstructive Lung illnesses is aimed toward practitioners in pulmonary drugs, pathology, thoracic radiology and epidemiology. Its concentration is at the pathobiology of persistent obstructive pathology ailment and emphysema and its exacerbation of persistent obstructive pulmonary illness and on therapies.

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Postoperative Care • Following a procedure that uses the endaural approach, the ear canal is packed with two strips (one medial and one lateral) of Adaptic gauze (Johnson & Johnson Medical Inc, Arlington, TX) impregnated with an antibiotic ointment. Two strips are used to prevent accidental removal of all the packing by the child during the postoperative period. • A Glasscock dressing (Glasscock Ear Dressing Kit, Oto-Med, Lake Havasu City, AZ) is used for the first postoperative day, and for a few days afterward if the child prefers.

Bluestone, MD The three most commonly used surgical approaches to the middle ear and mastoid are: transcanal, endaural, and postauricular. The most feasible approach to the mastoid is through a postauricular incision. Even though the endaural incision can be used to approach the mastoid, it does not provide as good exposure of the mastoid as the postauricular incision. TRANSCANAL APPROACH The transcanal (transmeatal, endomeatal) approach to the middle ear is not used as commonly in children as it is in adults owing to the relatively small ear canal in infants and young children.

The Penrose drain also protects the Koerner flap when a self-retaining retractor is inserted (Figure 2–26). Figure 2–25 The tympanic membrane, tympanomeatal flap, and mastoid are exposed. Figure 2–26 A Penrose drain is used to retract the Koerner flap anteriorly to protect the flap when the retractor is inserted. 38 Surgical Atlas of Pediatric Otolaryngology • The tympanomeatal flap is elevated and reflected anteriorly to expose the mesotympanum, similar to that described for the transcanal approach (Figure 2–27).

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