1
مهندسی پزشکی::
پس از جراحی
index was also measured on immediate postoperative views to assess the
ulnar and radial deviation were respectively of 20° and 10° postoperatively: i.e.
of 101° preoperatively, compared to 146° the other patients, increasing postoperatively
17 kg (78% of the contralateral side) postoperatively, for a significant gain of 7 kg
postoperatively (p<0.001) (Table 2).
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3
عمومی::
پس از عمل، پس از عمل
When this occurs in the imme- diate postoperative period, distinguishing between a true CSF leak and the release of retained saline irrigation fluid can be somewhat challenging; however, discontinuing the irrigations will quickly eliminate any problems caused by them, but this will not diminish a true CSF leak.
Postoperative care includes strict bed rest for several days in addition to anti-staphylococcal antibiotics for prophylaxis against complications from the nasal packing.
In the immediate postoperative period, patients must be monitored for potential intracranial complications, such as hematoma; observation in the intensive care unit is appropriate for the first 24 hours, or
The long-term postoperative management of patients with increased ICP and apparent spontaneous CSF rhinorrhea should be aimed at lowering the increased ICP.
Postoperatively, patients should be reassessed for the devel- opment of elevated ICP.،Surgical treatment for polypoid degeneration and Reinke's edema is common, using a lateral incision to extract the superfluous contents while protecting the medial edge of the vocal fold.3 Voice therapy is valuable both preoperatively in identifying the causes of the pathology and postoperatively for reestablishing good vocal hygiene and improved voice production.
In postoperative therapy, clini- cians can assist the patient in using his or her "new" voice correctly.
Other small, acquired microwebs may develop in the anterior commis- sure in the postoperative period fol- lowing vocal fold surgeries that involve the anterior membranous portion of the folds or following vocal trauma.
More com- monly, webbing of the anterior glottis causes various degrees of dyspnea and stridor, depending on the extent of the web.1'3'13 Phonosurgery is conducted to separate the web, using a keel to main- tain separation of the raw edges of the folds and to avoid reformation of the web caused by postoperative scarring.
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