1/2. Method of endotracheal tube fixation and iatrogenic ear deformities.There is no consensus regarding which type of endotracheal tube or method of fixation should be employed in neonates. We use oral endotracheal tubes held in place by a flange tied to a bonnet. In three very preterm infants the ligatures holding the bonnet to the flange caused pressure necrosis to the ear while the infants suffered poor perfusion due to profound hypotension. Permanent ear deformities have resulted. CONCLUSION: extra vigilance and precautions are required to prevent iatrogenic problems in sick, very prematurely born infants.- - - - - - - - - - ranking = 1keywords = pressure (Clic here for more details about this article) |
2/2. opium addiction and cauliflower ears: a case report.The case of an elderly Chinese male opium addict with cauliflower ears is discussed. He had no history of contact sports that could have led to auricular trauma resulting in deformed ears. Besides cauliflower ears, he had features of chronic bronchitis. The association between opium addiction and cauliflower ears was first described way back in 1932. It was attributed to the prolonged opium induced sleep on hard surface subjecting the ears to repeated pressure and trauma. With the changing pattern of drug abuse, opium abuse related cauliflower ears will become a vanishing sign.- - - - - - - - - - ranking = 1keywords = pressure (Clic here for more details about this article) |