Straws Don't Suck: Are Straws Dangerous after Endoscopic Skull Base Surgery?

Autor: Reilly EK; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Fastenberg JH; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Rabinowitz MR; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.; Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Huntley CT; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Boon MS; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Epps GA; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Vimawala S; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Chitguppi C; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Patel J; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Nyquist GG; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.; Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Rosen MR; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.; Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States., Evans JJ; Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.; Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States.
Jazyk: angličtina
Zdroj: Journal of neurological surgery. Part B, Skull base [J Neurol Surg B Skull Base] 2020 Aug 05; Vol. 82 (4), pp. 432-436. Date of Electronic Publication: 2020 Aug 05 (Print Publication: 2021).
DOI: 10.1055/s-0040-1714095
Abstrakt: Objective  Patients undergoing endoscopic endonasal surgery have historically been restricted from using straws postoperatively, due to the concern that this activity generates negative pressure. The objective of this study is to evaluate the pressure dynamics in the sinonasal cavity associated with the use of a straw. Methods  Intracranial pressure catheters were placed in the nasal cavity of 20 healthy individuals. Pressure measurements were then recorded while participants drank liquids of different viscosities from a cup and from a straw. Measurements were recorded with and without subjects occluding their nose to simulate postoperative nasal obstruction. Results  The average pressure in the nasal cavity while drinking water from a cup was -0.86 cmH 2 O, from a straw was -1.09 cmH 2 O, and while occluding the nose and using a straw was -0.81 cmH 2 O. The average pressure in the nasal cavity while drinking a milkshake from a cup was -0.98 cmH 2 O, from a straw was -1.88 cmH 2 O, and while occluding the nose and using a straw was -1.37 cmH 2 O. There was no statistically significant difference in pressure measurements when comparing either task or consistency ( p  > 0.05). Conclusion  Straw use is not associated with the generation of significant negative pressure in the nasal cavity. The pressure generated when drinking from a straw is not significantly different from that of drinking from a cup. This data suggest that straw use may be safe for patients following endoscopic skull base surgery, but further investigation is warranted.
Competing Interests: Conflict of Interest None declared.
(Thieme. All rights reserved.)
Databáze: MEDLINE
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