Jessica Mcguire

Jessica Mcguire
University of Cape Town | UCT · Division of Otolaryngology

FCORL MMed(Otol)

About

21
Publications
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66
Citations

Publications

Publications (21)
Preprint
Introduction: The COVID-19 pandemic prevented many medical specialist programmes across the world from conducting certification examinations. However, the Colleges of Medicine of South Africa (CMSA), which is responsible for conducting all specialist and sub-specialist certification examinations in South Africa, continued conducting examinations de...
Article
Full-text available
Objectives Tracheal stenosis is a debilitating condition which often presents as an emergency and is challenging to treat. Dilatation may avoid tracheostomy or costly tracheal resection and reconstruction. Traditional dilators cause complete occlusion, preventing oxygenation and ventilation, limiting safe duration of dilatation, and increasing risk...
Article
Background In resource-poor settings with limited surgical services, it is essential to identify and prioritise children with severe and very severe obstructive sleep apnoea syndrome (OSAS) to expedite surgery. McGill's Oximetry Score (MOS) has been validated against polysomnography for OSAS and is affordable and easy to use. Aims The aim of this...
Article
Full-text available
Background. Thyroid lobectomy is recommended with total laryngectomy for laryngeal cancer in the National Comprehensive Cancer Network (‘NCCN’) guidelines. However, it is associated with a 32–89 per cent risk of hypothyroidism, with or without adjuvant radiotherapy. Objective. The study aimed to determine whether preserving the whole thyroid, compa...
Article
Full-text available
Introduction: Balloon dilatation is frequently used in the management of tracheal stenosis. Traditional dilatation balloons cause complete occlusion of the tracheal lumen when deployed, limiting duration of dilatation due to development of hypoxia and increasing the risk of barotrauma. We assessed a novel, non occlusive airway dilatation balloon to...
Article
Introduction The Breatheasy© Tracheostomy Program based at the Red Cross War Memorial Children’s Hospital, Cape Town, manages children mostly from poor socio-economic backgrounds. In our resource-limited setting, it is unclear how these families cope with the demands of a tracheostomised child. We aim to assess the quality of life (QOL) of tracheos...
Article
Full-text available
Cancelling elective clinical consultations and surgical procedures was instrumental in assisting hospitals prepare for the COVID-19 crisis. Essential bed space was made available, and it allowed mobilisation of health workers and enforced social distancing. A shift in patient-centred ethics to public health ethics was required to provide a utilitar...
Article
Objective Total laryngectomy is considered the primary treatment modality for advanced laryngeal carcinoma. This study assessed the quality of life in patients after total laryngectomy, and ascertained whether quality of life is affected by socioeconomic status. Method Forty-seven patients (20 state- and 27 private-sector) who underwent total lary...
Conference Paper
Full-text available
Background and Goal of Study: Tracheal stenosis often presents as an emergency, and is a debilitating condition which is difficult to treat. Dilatation may avoid costly resection/reconstruction/tracheostomy. Traditional dilators cause complete occlusion, preventing oxygenation/ventilation, limiting safe duration of dilatation, and increasing risk o...
Article
Introduction: HIV-positive children are possibly more prone to developing cholesteatoma. Chronic inflammation of the middle ear cleft may be more common in patients with HIV and this may predispose HIV-positive children to developing cholesteatoma. There are no studies that describe the radiological morphology of the middle ear cleft in HIV-positi...
Article
Aim Introduction: Management of advanced juvenile nasopharyngeal (JNA) angiofibroma is plagued with surgical frustration, largely because of its propensity for haemorrhage. To minimise blood loss and the need for allogenic blood transfusion we routinely use preoperative embolisation and intra-operative cell salvage. Although endoscopic surgery is n...
Article
Full-text available
Background Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature reveal...
Article
Objectives: To highlight important aspects and paradigms in the management of paediatric cholesteatoma in a developing world setting. Methods: A retrospective audit was conducted of paediatric cholesteatomas that underwent tympanomastoid surgery between 2008 and 2012 at the Red Cross War Memorial Children's Hospital in Cape Town. The following was...
Article
Full-text available
Objectives: The primary aim was to assess the need for objective cuff pressure monitoring in the theatre complex and trauma centre at Groote Schuur Hospital, Cape Town, South Africa. Secondary aims were to determine whether the tube size, tube make or place of intubation affected cuff pressure. Method: Endotracheal tube cuff pressures of 91 pati...

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