Publications by authors named "Stephen P Spanos"

Neodymium ball magnets are commonly ingested by children and are a risk of causing significant morbidity if not addressed appropriately. While most ingested magnets are located distal to the epiglottis in the gastrointestinal tract, they can rarely get lodged across tissues in the mouth and throat such as the epiglottis. Though rare, this represents an impending airway emergency and requires urgent treatment once identified.

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Background: Neurosurgical techniques for repair of sagittal synostosis include total cranial vault (TCV) reconstruction, open sagittal strip (OSS) craniectomy, and endoscopic strip (ES) craniectomy.

Objective: To evaluate outcomes and cost associated with these 3 techniques.

Methods: Via retrospective chart review with waiver of informed consent, the last consecutive 100 patients with sagittal synostosis who underwent each of the 3 surgical correction techniques before June 30, 2013, were identified.

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Article Synopsis
  • This study explored postoperative pain management methods for pectus excavatum repair, comparing traditional epidural analgesia with intercostal and paravertebral regional blocks.
  • The results showed that paravertebral and intercostal blocks significantly reduced hospital stay duration for patients primarily treated under the Nuss procedure, although they led to increased narcotic use and costs overall.
  • Despite higher pain scores on the first day for the alternative methods, paravertebral pain control was effective by day three, indicating it as a viable alternative to epidural methods.
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