Foreign accent syndrome post tonsillectomy: A case report

Foreign Accent Syndrome (FAS) is a rare clinical entity in which affected patients experience a new pattern of speech resembling an unusual accent. Reported cases are scarce in published literature and are usually the result of a neurological insult. FAS as a complication from a general anesthetic or surgery has not been reported to date. We present the case of a healthy 27‐year‐old Australian woman who developed FAS following a tonsillectomy. Post operatively, speech patterns resembled an Irish accent. We discuss the potential mechanisms of the unusual complication as well as review the available literature surrounding FAS.     

鼻内镜下单极电刀切除儿童扁桃体的临床观察

目的通过鼻内镜下单极高频电刀切除儿童扁桃体,观察术中、术后相关指标,评价手术疗效,并与传统扁桃体剥离术相比较。方法选择4~9岁儿童40例,严格根据扁桃体切除手术指征,完善相关必要术前检查,排除手术禁忌证,鼻内镜下单极高频电刀切除扁桃体手术,观察手术中出血量、手术持续时间、术后疼痛、术后伪膜生长情况和术后出血情况,传统扁桃体剥离手术方式选择40例患儿。结果通过鼻内镜手术组患者手术时间、术中出血量均明显低于传统扁桃体剥离组(P0.05),鼻内镜组术后无出血,传统扁桃体剥离组1例迟发性出血,术后疼痛持续时间、术后疼痛程度和白色伪膜脱落时间两组之间比较差异无统计学意义(P0.05)。结论鼻内镜下进行单极高频电刀切除儿童扁桃体过程中出血少,手术操作时间短,手术视野清楚,周围组织损伤小,伤口恢复快,能有效减少患儿痛苦,值得临床应用。