International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2013
An alternative method of management of pediatric airway foreign bodies in the absence of rigid bronchoscopy.
Pediatric airway foreign body aspiration is a life-threatening clinical entity. The standard of care for managing this situation is endoscopic retrieval using rigid bronchoscopy. However in resource-limited settings rigid bronchoscopy may not be available. This retrospective case series describes the successful application of one treatment modality for pediatric airway foreign body. ⋯ Pediatric airway foreign body aspiration is a life-threatening clinical entity in any setting, but it presents unique challenges in resource-limited settings where rigid bronchoscopy is not available. This report presents one such treatment modality and utilizes a combination of flexible fiberoptic bronchoscopy and tracheotomy to treat such patients.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2013
Review Case ReportsIntratonsillar abscess: 3 case reports and a review of the literature.
Intratonsillar abscess (ITA) is a rarely diagnosed infection occurring in both children and adults. Our objective is to review the presentation and management of intratonsillar abscesses. 3 case reports of intratonsillar abscess highlighting diagnostic, management and treatment strategies. We then present a review of the medical literature regarding ITAs. 2 children and 1 adult were found to have ITA. ⋯ CT scan may confirm the presence of an ITA. Management is similar to that of peritonsillar abscess. A full discussion of the clinical presentation, pathophysiology, management and a review of the current literature are presented.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2013
Randomized Controlled TrialThe effect of Tualang honey in enhancing post tonsillectomy healing process. An open labelled prospective clinical trial.
Tonsillectomy is a common operative procedure performed for tonsillar hypertrophy complicates with recurrent tonsillitis. Among the post tonsillectomy morbidities, post operative wound healing is of utmost importance to be effectively managed as it will interfere with patient recuperation from surgery. Tualang honey has been shown to accelerate wound healing in postoperative patients. ⋯ Tualang honey has positive effect in enhancing healing process in post tonsillectomy patient. It is easy to use topically, safe to consume orally and available at low cost locally. Overall it can be used as an excellent adjunct therapy for post operative patients.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2013
Combination of symptoms and oxygen desaturation index in predicting childhood obstructive sleep apnea.
To develop a screening process of obstructive sleep apnea in children based on a combination of symptoms and oxygen desaturation index (ODI). ⋯ Observable apnea during sleep was an independent positive predictive factor for OSA in children. A child with observable apnea during sleep should be referred to a special sleep laboratory for PSG diagnosis. When the total score is 3 or 4 based on a combination of symptoms and ODI, OSA can be diagnosed and the child should be referred to a sleep pediatrician for appropriate intervention. When the total score is 0 or 1, the child can be considered normal but should be monitored. When the total score is 2, the result cannot be determined and the child should be referred to a special sleep laboratory for PSG diagnosis. Thus, a screening process is developed based on a combination of symptoms and ODI.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2013
Impact of laryngopharyngeal and gastroesophageal reflux on asthma control in children.
A prospective study was carried out to determine the sensitivity and specificity of reflux symptoms and laryngeal findings to diagnose laryngopharyngeal reflux (LPR) and gastro-esophageal reflux (GER) in children with asthma by comparing the results of double probe pH monitorization and to determine the difference between controlled and uncontrolled asthma in terms of GER and LPR coexistence. ⋯ The reflux symptom score and LPR disease index do not seem reliable to diagnose LPR and GER in children with asthma. The frequency of LPR and GER are independent of asthma control, atopy and long acting beta agonist usage.