International journal of pediatric otorhinolaryngology
-
Int. J. Pediatr. Otorhinolaryngol. · Oct 2006
Case ReportsOtitic hydrocephalus associated with lateral sinus thrombosis and acute mastoiditis in children.
The incidence of intracranial complications of acute otitis media (AOM) has decreased and the need for operative and medical treatment is declined during the antibiotic era. To describe pathognomonic signs, evaluation management, operative findings, clinical course and outcome of otitic hydrocephalus and lateral sinus thrombosis as complications of AOM and mastoiditis in pediatric patients. Two children, 9 and 13 years old, with the diagnosis of OH and TK and MRI findings are presented. ⋯ Contrast-enhanced computed tomography scan and magnetic resonance imaging play a major role in determining diagnosis and treatment plans in this intracranial complications. Management included systemic antibiotics, short-term heparin anticoagulation and surgical decompression. In our patients intensive i.v. antibiotic treatment, steroids, anticoagulants and surgery led to a significant improvement in the clinical condition.
-
Int. J. Pediatr. Otorhinolaryngol. · Oct 2006
Role of caffeic acid phenethyl ester, an active component of propolis, against NAOH-induced esophageal burns in rats.
This study was evaluated to investigate the efficacy of caffeic acid phenethyl ester (CAPE), which is a natural honeybee product exhibits a spectrum of biological activities including anti-microbial, anti-inflammatory, antioxidant and anti-tumoral actions, on the prevention of stricture development after esophageal caustic injuries in the rat. ⋯ It is concluded that CAPE has a preventive effect on the stricture development after esophageal caustic injuries in the rat.
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2006
Obesity increases the risk for persisting obstructive sleep apnea after treatment in children.
To evaluate the impact of obesity at diagnosis on treatment outcomes in paediatric obstructive sleep apnea (OSA). ⋯ For children, obesity at the time of diagnosis is a major risk for persisting OSA after treatment, regardless of the severity of initial disease.
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2006
Ear, nose and throat foreign bodies in Melanesian children: an analysis of 1037 cases.
Occurrence of foreign bodies (FBs) in ear, nose and throat (ENT) in children are not uncommon in clinical practice. We described our experience with ENT foreign bodies in Melanesian children. ⋯ Otolaryngological foreign bodies in children are common. For early diagnosis a high index of suspicion has to be maintained by pediatric otolaryngologist.
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2006
The safety of preoperative sedation in children with sleep-disordered breathing.
To prospectively monitor children who received preoperative sedation with midazolam hydrochloride prior to adenotonsillectomy (T&A) for treatment of sleep-disordered breathing with continuous pulse-oximetry to detect potential respiratory compromise. ⋯ Based on sporadic reports of adverse airway events in children with obstructive sleep apnea receiving sedation, these children frequently do not receive preoperative sedation. Given the low morbidity of preoperative sedation in our population, many children with sleep-disordered breathing may safely be pre-medicated.