Mearns, A. J. and England, R. M. (1975). Thorax, 30,[461][462][463]. Dissolving foreign bodies in the trachea and bronchus. Two young children inhaled sweets which dissolved in the tracheobronchial secretions and caused severe respiratory obstruction. The viscid fluid produced as the sweet dissolved was not expectorated and bronchoscopy was necessary. The oedema of the mucosa caused by the presence of a hyperosmolar sugar solution took up to 48 hours to resolve; antibiotics and steroid cover were considered necessary.
Cochlear implantation is a surgical procedure with progressively widening indications in the management of profound deafness. In the majority of cases the operation involves the formation of a posterior tympanotomy for electrode insertion. This process carries documented risks to the mastoid portion of the facial nerve. Here we summarize the variations found in the mastoid portion of the facial nerve, discuss the surgical methods that optimize nerve safety and present the Yorkshire Cochlear Implant Unit's series.
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