---
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.'
altloc:
  - http://www.ojhas.org/issue35/2010-3-16.htm
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creators_id:
  - johnaidonis@hotmail.com
  - ~
  - ~
creators_name:
  - family: I
    given: Aidonis
    honourific: ''
    lineage: ''
  - family: A
    given: Skalimis
    honourific: ''
    lineage: ''
  - family: E
    given: Kyrodimos
    honourific: ''
    lineage: ''
date: 2010-10-15
date_type: published
datestamp: 2010-11-22 14:19:17
department: ~
dir: disk0/00/00/71/19
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editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr.
    lineage: ''
eprint_status: archive
eprintid: 7119
fileinfo: /style/images/fileicons/application_pdf.png;/7119/1/2010%2D3%2D16.pdf
full_text_status: public
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keywords: Intractable; Singultus; Stapedectomy; Postoperative hiccups
lastmod: 2011-03-11 08:57:48
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longitude: ~
metadata_visibility: show
note: ~
number: 3
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pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Dr. B.S. Kakkilaya
refereed: TRUE
referencetext: "1.\tHung YM, Miller MA, Patel MM. Persistent hiccups associated with intravenous corticosteroid therapy. Journal of Clinical Rheumatology 2003;9:306-309.\r\n2.\tLaunois S, Bizec JL, Whitelaw WA, et al. Hiccup in adults: an overview. European Respiratory Journal 1993;6:563-575.\r\n3.\tCymet TC. Retrospective analysis of hiccups in patients at a community hospital from 1995-2000. Journal of the National Medical Association 2002;94:480-483.\r\n4.\tCalvo 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.\r\n5.\tDietzel J, Grundling M, Pavlovic D, Usichenko TI. Acupuncture for persistent postoperative hiccup. Anaesthesia 2008;63:1021-1022.\r\n6.\tHiyama 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.\r\n7.\tMoretti 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.\r\n8.\tWilcock A, Twycross R. Midazolam for intractable hiccup. Journal of Pain and Symptom Management 1996;12:59-61.\r\n9.\tBilotta F, Pietropaoli P, Rosa G. Nefopam for refractory postoperative hiccups. Anesthesia & Analgesia 2001;93:1358-1360\r\n10.\tOdeh M, Bassan H, Oliven A. Termination on of intractable hiccups with digital rectal massage. Journal of Internal Medicine 1990;227:145-146."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 19
series: ~
source: ~
status_changed: 2010-11-22 14:19:17
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: Persistent Hiccups Following Stapedectomy
type: journale
userid: 4338
volume: 9
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