Preoperative incidence of olfactory dysfunction in nasal surgery patients.

Objective: Learn the incidence of olfactory dysfunction in preoperative patients prior to nasal surgery and compare with a control group of patients who are not going to have such surgery. Assess the usefulness of the coffee/tea differentiation test in assessing preoperative dysosmia.

Study Design: Prospective controlled cohort study.

Antibiotic prophylaxis in the management of complex midface and frontal sinus trauma.

Objectives/hypothesis: Although mandible trauma has been studied extensively, there is no standard for use of pre- and postoperative antibiotics in other facial trauma. We sought to determine whether antibiotic strategies have an effect on infection rates.

Study Design: Retrospective chart review and cohort analysis.

Paraplegia after mastoidectomy under general anesthesia.

We report a case of complete paraplegia after general anesthesia for a right tympanomastoidectomy without any apparent predisposing factors related to the surgical procedure or the anesthetic. The case raises the possibility that the combination of neck rotation and relative hypotension may precipitate paraplegia in patients with preexisting spinal chord pathology.