International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2011
Comparative StudyPierre Robin sequence: an institutional experience in the multidisciplinary management of airway, feeding and serous otitis media challenges.
To evaluate the course and prognosis of airway obstruction, feeding difficulties and hearing abnormalities in patients with Pierre Robin sequence (PRS). ⋯ Airway management in the majority of PRS can be successfully achieved by conservative methods. Even in the presence of an adequate airway, many patients will require supplemental feeding. Early audiological assessment is necessary as many patients will need tympanostomy tube placement to ensure adequate speech and language development.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2011
Comparative StudyLingual tonsils hypertrophy; a cause of obstructive sleep apnea in children after adenotonsillectomy: operative problems and management.
Although adenotonsillar hypertrophy has been reported to be the commonest cause of pediatric obstructive sleep apnea (OSA), enlargement of the lingual tonsils is increasingly being recognized as a cause, even after adenotonsillectomy. The aim of our study was to elucidate the lingual tonsils hypertrophy as a cause of pediatric OSA and also to evaluate the efficacy of lingual tonsillectomy in relieving symptoms of the disease considering the peri-operative problems and management. ⋯ Lingual tonsils hypertrophy could be the cause of obstructive sleep apnea in children after adenotonsillectomy, lingual tonsillectomy is an effective treatment for these cases, however peri-operative airway problems should be expected and can be managed safely. Persistent symptoms after lingual tonsillectomy may be due to the presence of co-morbidities such as cranio-facial deformities, obesity, and/or mucopolysaccharidoses.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2011
Comparative StudyFiberoptic Endoscopic Evaluation of Swallowing in children: feeding outcomes related to diagnostic groups and endoscopic findings.
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is used as an adjunct to assess swallowing function in children with complex feeding disorders. We report the feeding outcomes of patients who underwent FEES to determine whether associations exist between clinical diagnoses or FEES findings and feeding outcomes. ⋯ Many children overcome their dysphagia but those with neurologic disorders are less likely to achieve total oral feeding status. In children with dysphagia evaluated by FEES, the long-term feeding status is not significantly associated with the initial FEES findings.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2011
Pediatric obstructive fibrinous tracheal pseudomembrane--characteristics and management with flexible bronchoscopy.
To evaluate the incidence, characteristics, flexible bronchoscopy (FB) findings, interventions and outcome of pediatric obstructive fibrinous tracheal pseudomembrane (OFTP) in our pediatric and neonatal intensive care units (ICUs). ⋯ OFTP should always be considered in the event of postextubation respiratory distress, especially in the pediatric and neonatal ICUs. Early diagnosis and effective ablation can be achieved with aid of FB.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2011
More than a surgical mission--pediatric Otolaryngology in Ethiopia.
Improving the quality of pediatric healthcare in the developing world poses some formidable challenges. Surgical missions aim to improve the lot of individual children, but do little to alter the wellness of the majority. ⋯ We hope that by moving from the traditional surgical mission format to a long-term, integrated educational effort we can enhance otolaryngic care for children in Sub-Saharan Africa.