creators_name: I, Aidonis creators_name: A, Skalimis creators_name: E, Kyrodimos creators_id: johnaidonis@hotmail.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2010-11-22 14:19:17 lastmod: 2011-03-11 08:57:48 metadata_visibility: show title: Persistent Hiccups Following Stapedectomy ispublished: pub subjects: OJHAS full_text_status: public keywords: Intractable; Singultus; Stapedectomy; Postoperative hiccups abstract: Objective: We report a case of a 37 year-old man who developed persistent hiccups after elective stapedectomy. Method and Results: The diagnostic approach is discussed as well as the non-pharmacologic and pharmacologic treatments and overall management. The aim is to stress that there is a variety of potential factors that can induce hiccups perioperatively and in cases like this a step by step approach must be taken. Conclusion: Persistent hiccups are very rare following stapedectomy, control of them is crucial for the successful outcome. The trigger may be more than one factors and the good response to treatment may be due to dealing successfully with more than one thing. date: 2010-10-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 9 number: 3 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. Hung YM, Miller MA, Patel MM. Persistent hiccups associated with intravenous corticosteroid therapy. Journal of Clinical Rheumatology 2003;9:306-309. 2. Launois S, Bizec JL, Whitelaw WA, et al. Hiccup in adults: an overview. European Respiratory Journal 1993;6:563-575. 3. Cymet TC. Retrospective analysis of hiccups in patients at a community hospital from 1995-2000. Journal of the National Medical Association 2002;94:480-483. 4. Calvo E, Fernandez-La Torre F, Brugarolas A. Cervical phrenic nerve block for intractable hiccups in cancer patients. Journal of the National Cancer Institute 2002;94:1175-1176. 5. Dietzel J, Grundling M, Pavlovic D, Usichenko TI. Acupuncture for persistent postoperative hiccup. Anaesthesia 2008;63:1021-1022. 6. Hiyama T, Yoshihara M, Tanaka S, Haruma K, Chayama K. Effectiveness of prokinetic agents against diseases external to the gastrointestinal tract. Journal of Gastroenterology and Hepatology. 2009;24:537-546. 7. Moretti R, Torre P, Antonello RM, et al. Gabapentin as a drug therapy of intractable hiccup because of vascular lesion: a three-year follow up. The Neurologist 2004;10:102-106. 8. Wilcock A, Twycross R. Midazolam for intractable hiccup. Journal of Pain and Symptom Management 1996;12:59-61. 9. Bilotta F, Pietropaoli P, Rosa G. Nefopam for refractory postoperative hiccups. Anesthesia & Analgesia 2001;93:1358-1360 10. Odeh M, Bassan H, Oliven A. Termination on of intractable hiccups with digital rectal massage. Journal of Internal Medicine 1990;227:145-146. citation: I, Aidonis and A, Skalimis and E, Kyrodimos (2010) Persistent Hiccups Following Stapedectomy. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/7119/1/2010-3-16.pdf